Honda N, Machida K, Takishima T, Kaizu H, Sugimoto E
Department of Radiology, Saitama Medical Center, Saitama Medical School, Japan.
Ann Nucl Med. 1987 Sep;1(1):43-6. doi: 10.1007/BF03164550.
A case of left anterior and middle cerebral arterial occlusion with angiographic features similar to Moyamoya disease was reported. IMP SPECT of the patient revealed the success of bypass surgery clearly. The patient complained of transient right hemiparesis with aphasia 4 times. The cerebral arteriography disclosed occlusions of left anterior and middle cerebral arteries at their proximal portions. Right internal carotid and its branches were normal. I-123 IMP SPECT study showed hypoperfusion in left temporal lobe, basal ganglia with incomplete reperfusion on the delayed (4 hours after injection) SPECT images. After the superficial temporal-middle cerebral artery anastomosis, I-123 IMP SPECT showed improvement of the brain blood flow. I-123 IMP SPECT was very useful in detecting the ischemic areas and evaluating the revascularizing surgery in this case.
报告了一例左大脑前动脉和大脑中动脉闭塞且血管造影特征类似于烟雾病的病例。该患者的IMP SPECT清晰显示了搭桥手术的成功。患者曾4次出现短暂性右半身轻瘫伴失语。脑血管造影显示左大脑前动脉和大脑中动脉近端闭塞。右侧颈内动脉及其分支正常。I-123 IMP SPECT研究显示左颞叶、基底节灌注不足，延迟（注射后4小时）SPECT图像上再灌注不完全。颞浅动脉-大脑中动脉吻合术后，I-123 IMP SPECT显示脑血流改善。I-123 IMP SPECT在检测该病例的缺血区域和评估血管重建手术方面非常有用。
